Computer Assisted Management of Early Rheumatoid Arthritis-II: Does prednisone inhibit progression of joint damage if early RA is treated very intensively with disease modifying antirheumatic drugs (DMARDs)?

ISRCTN ISRCTN70365169
DOI https://doi.org/10.1186/ISRCTN70365169
Secondary identifying numbers N/A
Submission date
28/03/2006
Registration date
29/03/2006
Last edited
11/09/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr A.C.A. Marijnissen
Scientific

University Medical Center Utrecht (UMCU)
Department of Rheumatology and Clinical Immunology
F02.127
P.O. Box 85500
Utrecht
3508 GA
Netherlands

Phone +31 (0)30 2509758
Email a.c.a.marijnissen@umcutrecht.nl

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Scientific titleComputer Assisted Management of Early Rheumatoid Arthritis-II: Does prednisone inhibit progression of joint damage if early RA is treated very intensively with disease modifying antirheumatic drugs (DMARDs)?
Study acronymCAMERA-II
Study hypothesisPrednisone inhibits progression of joint damage in early RA-patients, even when intensive treatment, according to a strict computer-assisted protocol, is applied.
Ethics approval(s)Not provided at time of registration
ConditionRheumatoid arthritis (RA)
Intervention10 mg of prednisolone daily versus placebo in addition to DMARDs. Two year study.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Prednisone and DMARDs
Primary outcome measureRadiologic joint damage of hands and feet according to the van der Heijde modification of the Sharp scoring method.
Secondary outcome measuresNumber of patients in remission, in which remission is defined as:
1. Number of swollen joints = 0
2. Plus at least two out of three following criteria:
2.a. Number of swollen joints <3
2.b. Erythrocyte sedimentation rate (ESR) <20 mm/1st hour
2.c. Visual analogue scale (VAS) of general well being <20 mm
Overall study start date01/04/2003
Overall study end date01/04/2007

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants220
Participant inclusion criteria1. Rheumatoid Arthritis, defined according to the revised American College of Rheumatology (ACR) criteria for Rheumatoid Arthritis
2. A disease duration of less than 1 year, estimated by the rheumatologist
3. Age >18 years
4. No previous treatment with DMARDs or oral glucocorticoids
5. Written informed consent by the patient
Participant exclusion criteria1. Abnormal renal function (Cockroft <75 ml/min)
2. Abnormal liver function (aspartate aminotransferase [ASAT]/alanine aminotransferase [ALAT] >2 x normal), active or recent hepatitis, cirrhosis
3. Major co-morbidities like malignancies, severe diabetic mellitus, severe infections, severe cardio and/or respiratory diseases
4. Leukopenia and/or thrombocytopenia
5. Inadequate birth control contraception, pregnancy, and/or breastfeeding
6. Treatment with cytoxic or immunosuppressive drugs within a period of 3 months prior to the study
7. Alcohol intake >2 units per day or drug abuse, presently or in the past
8. Psychiatric or mental disorders which makes adherence to the study protocol impossible
9. Taking part in another clinical trial
10. Osteoporotic vertebral fractures
Recruitment start date01/04/2003
Recruitment end date01/04/2007

Locations

Countries of recruitment

  • Netherlands

Study participating centre

University Medical Center Utrecht (UMCU)
Utrecht
3508 GA
Netherlands

Sponsor information

University Medical Center Utrecht
University/education

P.O. Box 85500
Utrecht
3508 GA
Netherlands

Website http://www.umcutrecht.nl/nl/
ROR logo "ROR" https://ror.org/0575yy874

Funders

Funder type

Industry

University Medical Center Utrecht

No information available

Abbott Laboratories
Government organisation / For-profit companies (industry)
Alternative name(s)
Abbott, Abbott U.S., Abbott Alkaloidal Company
Location
United States of America

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 06/03/2012 Yes No
Results article results 01/01/2013 Yes No
Results article results 09/09/2020 11/09/2020 Yes No

Editorial Notes

11/09/2020: Publication reference added.